The Glittre activities of daily living as a potential test for functional evaluation of patients on hemodialysis: a validation study

Figueiredo, Pedro Henrique Scheidt; Silva, Ana Caiane Rocha da; Nominato, Gabriela; Lopes, Paulo Henrique; Campos, Patrícia; Santos, Luciana Martins; Alcântara, Marcus Alessandro de; Alves, Frederico Lopes; Rodrigues, Vanessa; Maciel, Emílio Henrique Barroso; Prates, Maria Cecília Sales Mendes; Lacerda, Ana Cristina Rodrigues; Lima, Vanessa Pereira

doi:10.1080/09638288.2020.1812121

Cited by 7 publications

(9 citation statements)

References 46 publications

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“…Although we observed a low HRQoL evaluated by the SF-36, no significant correlation was observed with the TGlittre. Unlike our results, however, TGlittre performance has been associated with a worse HRQoL among patients on hemodialysis, especially in relation to the physical domains [9]. A possible explanation for this discrepancy may be the lower severity of NDD-CKD patients, who experience a smaller impact on physical measures, such as strength, resistance, and mobility.…”

Section: Discussioncontrasting

confidence: 99%

“…In fact, HGS was the main determinant of TGlittre performance in our multiple regression model. The association between HGS and TGlittre performance has also been described among patients on hemodialysis [9] and may have contributed to the difficulty in performing the shelf tasks in our sample. Thus, muscle strength measures, which can be easily evaluated by HGS, should be incorporated as an important component for the diagnosis of muscle disorders in people with CKD [7].…”

Section: Discussionsupporting

confidence: 63%

“…Several factors can negatively affect the musculoskeletal system in this population, such as changes in muscle perfusion, an imbalance between anabolism and catabolism, reduced protein intake, insulin resistance, the presence of metabolic acidosis, the use of corticosteroids, and the presence of pro-inflammatory cytokines [ 6 , 8 ]. These factors can potentially lead to poor performance in physical activities and reduced functional capacity during exercise [ 9 ]. As a consequence, there may be a deterioration in physical mobility that contributes to a worsened general health status and increased mortality [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…In recent years, the Glittre-ADL test (TGlittre) has emerged as an instrument for assessing functional capacity to exercise by the performance of multiple ADLs incorporating the muscle activity of the upper and lower limbs. The TGlittre is a reliable and valid instrument for functional evaluation in different populations and has even been used among patients undergoing hemodialysis [ 9 ]. Since an increasing number of patients have NDD-CKD with the potential to achieve better physical health outcomes than with the dialysis route [ 11 ], it is essential to evaluate the functional capacity to exercise in this patient population.…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

et al. 2023

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This study evaluated the functional capacity measured by the Glittre-ADL test (TGlittre) in patients with nondialysis-dependent chronic kidney disease (NDD-CKD) and analyzed the test’s associations with muscle strength, physical activity level (PAL), and quality of life. Methods: Thirty patients with NDD-CKD underwent the following evaluations: the TGlittre; the International Physical Activity Questionnaire (IPAQ); the Short Form-36 (SF-36); and handgrip strength (HGS). The absolute value and percentage of the theoretical TGlittre time were 4.3 (3.3–5.2) min and 143.3 ± 32.7%, respectively. The main difficulties in completing the TGlittre were squatting to perform shelving and manual tasks, which were reported by 20% and 16.7% of participants, respectively. The TGlittre time correlated negatively with HGS (r = −0.513, p = 0.003). The TGlittre time was significantly different between the PALs considered “sedentary”, “irregularly active”, and “active” (p = 0.038). There were no significant correlations between TGlittre time and the SF-36 dimensions. Patients with NDD-CKD had a reduced functional capacity to exercise with difficulties performing squatting and manual tasks. There was a relationship between TGlittre time and both HGS and PAL. Thus, the incorporation of the TGlittre in the evaluation of these patients may improve the risk stratification and individualization of therapeutic care.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

et al. 2023

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“…Although a previous study investigated associations between clinical and functional aspects in HD patients [16], due to the complexity of the disease and its multiple repercussions on the overall health of patients, there remains a gap in the identification of possible clinical variables (e.g., body composition, physical activity level, biomarkers) associated with functioning in reference to the ICF in a complementary and integrated view in HD patients. Therefore, the present study aimed to investigate possible variables associated with functioning in reference to ICF domains in HD patients.…”

Section: Introductionmentioning

confidence: 99%

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

et al. 2022

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Background Hemodialysis (HD) treatment affects functioning, physical activity level, clinical biomarkers, and body composition. However, the association between these variables with functioning, considering International Classification of Functioning, Disability and Health (ICF) domains remains unclear. Thus, the aim of this study was to investigate the possible association between physical activity, biomarkers, and body composition with functioning in HD patients in reference to the ICF. Methods Eighty HD patients performed different tests grouped according to ICF domain: Body structure and function – handgrip strength (HS), 5-repetition sit-to-stand test, and 60-s sit-to-stand test (5-STS, 60-STS, respectively); Activity – short physical performance battery (SPPB); and Participation – participation scale questionnaire. Physical activity [Human Activity Profile questionnaire (HAP)], body composition (Dual-energy X-ray absorptiometry), Parathormone (PTH), and alkaline phosphatase were analyzed as possible variables associated with ICF domains. Data analyses were performed using simple and multiple regression models adjusted for age, duration of HD, and diuresis volume. Results In the body structure and function domain, appendicular lean mass, PTH level, and age were associated with HS (R2 = 0.558); HAP and PTH were associated with 5-STS (R2 = 0.263); and HAP, PTH, duration of HD, and age were associated with 60-STS (R2 = 0.337). In the activity domain, HAP, PTH, alkaline phosphatase, duration of HD, age, and body fat were associated with SPPB (R2 = 0.689). Finally, only HAP was associated with the participation scale (R2 = 0.067). Conclusion Physical activity and PTH levels are determinant protagonists of functioning in all ICF domains in hemodialysis patients.

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Validity and reliability of the Glittre-ADL test in adults with asthma

Puzzi

Oliveira

Alves

et al. 2022

Physiotherapy Theory and Practice

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The Glittre activities of daily living as a potential test for functional evaluation of patients on hemodialysis: a validation study

Cited by 7 publications

References 46 publications

Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

Assessment of Functional Capacity in Patients with Nondialysis-Dependent Chronic Kidney Disease with the Glittre Activities of Daily Living Test

Determining factors of functioning in hemodialysis patients using the international classification of functioning, disability and health

Validity and reliability of the Glittre-ADL test in adults with asthma

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